Dark Scars

Scars form as part of the skin healing process following an injury, cut or burn. In order to restore the integrity of the tissues, the skin enters a regenerative mode whereby new connective tissue and skin cells are laid down. This results in the formation of a scar. In ideal conditions, the scar formed is closely matched with the surrounding skin in colour, texture and level, hence it is not particularly noticeable. However, in some instances, the scar may not match so well with the original skin characteristics. For example, if there are excessive or insufficient connective tissues laid down, the scar may appear pitted or raised from the skin. Additionally, sometimes scars can appear significantly darker than the original skin tone, which is medically referred to as ‘hyperpigmentation’.

This can occur in the primary formation of the scar itself, or the scar tissue may darken overtime, causing it to appear more conspicuous. Having darker and more obvious scarring can make some individuals feel very self-conscious, particularly if this occurs on commonly visible areas of the body, such as the face, neck, hands, arms and legs.

Mr Ioannis Goutos is a highly qualified plastic surgeon and leading expert in the field of scars and burns management. He has extensive experience in assessing and managing a wide range of troublesome scarring, and offers a number of surgical and non-surgical cosmetic procedures.

Mr Goutos takes particular pride in providing tailored treatment for each individual, based on their skin type, background and treatment goals. He ensures that all relevant aspects are addressed in each care plan, including physical, social and psychological factors that are often associated with scarring.

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About this condition

The most common cause of hyperpigmented scars is the production of additional pigment known as ‘melanin’ within the scar tissue. This may also be associated with other adverse features, such as the scar being raised (a hypertrophic or keloid scar) or depressed (most commonly in pitted scarring related to previous acne). Sometimes, the darker colour of the scar may be due to residual breakdown products of red blood cells within the skin.

Established scars may become darker with time, particularly if regularly exposed to direct sunlight. Similarly to normal skin, scar tissue will ‘tan’ or darken in response to background radiation. Scar tissue is often more sensitive to UV rays than normal skin, so may become darker, and more quickly.

A good way to prevent dark scars from occurring is by using sun protection, such as appropriate clothing or sun screen with a minimum 30SPF, particularly on recently healed wounds. Other methods of promoting good scar formation include keeping the wound clean, covered and well moisturised during healing.

There are a number of effective treatment options available for dark scars. Results will depend on if there are any other adverse features of the scar, such as texture, height or associated pain or itch. It is important to consider the original skin tone when selecting the best treatment, as some options can result in ‘hypopigmentation’ or lightening of the skin. Viable treatment options include:

Needling or microneedling
Q Switched Nd:YAG or Pico laser
Intense pulsed light treatment (IPL)
Topical treatments

These procedures can often be used in conjunction with other treatments depending on the individual’s symptoms and cosmetic goals. An experienced clinician should be able to guide you as to the best plan and treatments for you and your skin.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.